Individual
IFEYINWA ANIGBOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8570 HOSPITAL DR, DOUGLASVILLE, GA 30134-2413
(470) 227-8130
(470) 747-7588
Mailing address
125 COLD CREEK PKWY, MACON, GA 31210-5531
(917) 374-5291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134126
IL
207RN0300X
Nephrology Physician
2015-01318
NC
207RN0300X
Nephrology Physician
52181
SC
207RN0300X
Nephrology Physician
Primary
90231
GA
Other
Enumeration date
07/18/2008
Last updated
01/13/2024
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